Hyperkalemic conduction disturbance
Educational use only. Not clinically reviewed72-year-old woman for Post-emergency conduction, surveillance, and device-restraint reassessment. About 8 simulated minutes.
What you will practise
- Reconcile the confirmed pretreatment hyperkalemia and conduction disturbance with the reported emergency treatment and current stable whole-patient state.
- Review the authored post-calcium conduction change without mistaking membrane stabilization for potassium removal.
- Review the reported shifting treatment and the required serial potassium, glucose, hypoglycemia, and rebound surveillance.
- Review kidney, medication, illness, removal, and owner context while deferring permanent-device conclusions during correction of a reversible metabolic disturbance.
- After elapsed time, review the authored later potassium, glucose, rhythm, QRS, and perfusion panel.
- After the later panel, hand off continued potassium, glucose, ECG, rebound, contributor, device-reevaluation, and ownership work.
Review and sources
Not clinically reviewed. No clinician has signed this scenario.
- UK Kidney Association. Clinical Practice Guideline: Management of Hyperkalaemia in Adults. October 2023.
- Lindner G, Burdmann EA, Clase CM, et al. Acute hyperkalemia in the emergency department: a summary from a Kidney Disease: Improving Global Outcomes conference. Eur J Emerg Med. 2020;27:329-337.
- Kusumoto FM, Schoenfeld MH, Barrett C, et al. 2018 ACC/AHA/HRS Guideline on the Evaluation and Management of Patients With Bradycardia and Cardiac Conduction Delay. Circulation. 2019;140:e382-e482.
Open Sim Lab is an educational simulator, not for clinical use. It is not a clinical decision-support tool, not a dosing calculator, and is not validated for any decision affecting a real patient.